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Home , Acetyldihydrocodeine, Ambroxol, Ammonium chloride, Antimony pentasulfide, Benproperine, Benzonatate

(19) TZZ ¥Z Z_T

(11) EP 2 730 280 A1

(12) EUROPEAN PATENT APPLICATION

(43) Date of publication: (51) Int Cl.: 14.05.2014 Bulletin 2014/20 A61K 31/196 (2006.01) A61K 45/06 (2006.01) A61P 11/00 (2006.01) A61P 17/00 (2006.01) (2006.01) (2006.01) (21) Application number: 12191877.5 A61K 9/00 A61Q 11/00

(22) Date of filing: 08.11.2012

(84) Designated Contracting States: • Siegel, Sven AL AT BE BG CH CY CZ DE DK EE ES FI FR GB 37671 Höxter (DE) GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO • Middendorf, Silke PL PT RO RS SE SI SK SM TR 49196 Bad Laer (DE) Designated Extension States: BA ME (74) Representative: Fabry, Bernd IP2 Patentanwalts GmbH (71) Applicant: Symrise AG Schlossstrasse 523 37603 Holzminden (DE) 41238 Mönchengladbach (DE)

(72) Inventors: • Krammer, Gerhard 37603 Holzminden (DE)

(54) A pharmaceutical composition comprising a menthane carboxylic amide

(57) Suggested is a pharmaceutical composition, phenyl)-amide. comprising menthane carboxylic acid-N-(4-methoxy- EP 2 730 280 A1

Printed by Jouve, 75001 PARIS (FR) EP 2 730 280 A1

Description

Field of invention

5 [0001] The present invention belongs to the area of anti-inflammatory compositions and refers to a specific menthane carboxylic acid amide as a pharmaceutical composition and also oral compositions comprising said amide.

State of the art

10 [0002] represents a part of the complex biological response of vascular tissues to harmful stimuli, such as pathogens, damaged cells, or irritants. An inflammation is different to a mere irritation like goose bumps or itching in the case of the skin. Inflammation is a protective attempt by the organism to remove the injurious stimuli and to initiate the healing process. Inflammation is not a synonym for , even in cases where inflammation is caused by infection. Although infection is caused by a microorganism, inflammation is one of the responses of the organism to the pathogen. 15 However, inflammation is a stereotyped response, and therefore it is considered as a mechanism of innate immunity, as compared to adaptive immunity, which is specific for each pathogen. An acute inflammation is preferably characterized by clinical signs: pain, redness, immobility (loss of function), swelling and/or heat. A very typical embodiment of inflam- mation is acne vulgaris. [0003] The process of acute inflammation is initiated by cells already present in all tissues. These cells have on their 20 surfaces certain pattern recognition receptors (PRRs), which recognize molecules that are broadly shared by pathogens but distinguishable from host molecules (pathogen-associated molecular patterns (PAMPs)). At the onset of an infection, burn, or other injuries, these cells undergo activation (as one of their PRRs recognizes a PAMP) and release inflammatory mediators (factors) responsible for the clinical signs of inflammation. Vasodilation and its resulting increased blood flow cause the redness ( rubor) and increased heat ( calor). Increased permeability of the blood vessels results in an exudation 25 (leakage) of plasma proteins and fluid into the tissue (edema), which manifests as swelling ( tumor). Some of the released mediators increase the sensitivity to pain dolor( ). The mediator molecules also alter the blood vessels to permit the migration of leukocytes, mainly neutrophils, outside of the blood vessels (extravasation) into the tissue. The neutrophils migrate along a chemotactic gradient created by the local cells to reach the site of injury. The loss of function (functio laesa)is probably the result ofa neurologicalreflex in responseto pain. Preferably,in thesense of thistext, an inflammation 30 is accompanied by an elevated level of inflammatory mediators (factors) like TNF-α (Tumor necrosis factor-alpha), interleukins, (preferably of IL-1, IL-6, IL-7, IL-8, IL-10, IL-13, IL-17, IL-18 and/or IL-31, in particular IL-1), (preferably PGl2, PGE2 and/or PGF2α), Interferon-gamma (INF-γ) and/or NF-κB (nuclear factor kappa-light-chain-en- hancer of activated B cells). [0004] Among the various types of inflammatories inflammation of the is one of the most common, 35 particular in winter time. The respiratory tract is divided into three segments: the upper respiratory tract, which includes the nose and nasal passages, paranasal sinuses, and throat or ; the respiratory airways, which include the voice box or larynx, , bronchi, and bronchioles; and the , which include the respiratory bronchioles, alveolar ducts, alveolar sacs, and alveoli. The term upper respiratory , commonly referred to as URls, are used to refer to an acute infection that involves the upper respiratory tract, e.g., the nose, sinuses, pharynx or larynx. Acute upper respiratory 40 tract infections include rhinosinusitis (), , /tons illitis, laryngitis and sometimes . Symptoms of URls commonly include congestion, , running nose, sore throat, fever, facial pressure and sneezing. These infections very often have inflammation as a symptom. An also very common infection is pharyngitis. Pharyngitis is, in most cases, a painful inflammation of the pharynx, and is colloquially referred to as a sore throat. Infection of the tonsils, i.e., tonsillitis, may occur simultaneously. About 90% of cases are caused by viral infection, with the remainder 45 caused by bacterial infection and, in rare cases, oral thrush (fungal candidiasis, e.g., in babies). Some cases of pharyngitis are caused by irritation from environmental irritants such as pollutants or chemical substances [0005] As a matter of fact countless actives are known from the state of the art. For example, US 4,136,163describe compounds having a physiological cooling effect on the skin and on the mucous membranes of the body, particularly those of the mouth, nose, throat and gastrointestinal tract. These compounds are 3-substituted-p-menthanes of formula 50 (I):

55

2 EP 2 730 280 A1

5

10

[0006] Where R’, when taken separately, is hydrogen or an aliphatic radical containing up to 25 carbon atoms; R", 15 when taken separately is hydroxy, or an aliphatic radical containing up to 25 carbon atoms, with the proviso that when R’ is hydrogen R" may also be an aryl radical of up to 10 carbon atoms and selected from the group consisting of substituted phenyl, phenalkyl or substituted phenalkyl, naphthyl and substituted naphthyl, pyridyl (with typical values being benzyl, naphthyl, 4-methoxyphenyl, 4-hydroxyphenyl, 4-methylphenyl, 3-hydroxy-4-methylphenyl, 4-fluorophenyl, 4-nitrophenyl, 2-hydroxynaphthyl, pyridyl, etc.); and ’R’ and R", when taken together with the atom to which 20 they are attached, represent a cyclic or heterocyclic group of up to 25 carbon atom. [0007] US4,136,163 teaches that the compounds of formula (I) are suitable for a wide variety of applications including edible and potable compositions, toiletries, medicaments including counter-irritants, cough mixtures and throat lozenges as well as miscellaneous compositions such as water soluble adhesive compositions for envelopes, stamps, adhesive labels etc. Regarding medicaments, US 4,136,163 teaches that because of their cooling effect on the skin and on the 25 mucous membranes of the mouth, throat and nose and of the gastrointestinal tract the 3-substituted-p-menthanes may be used in a variety of oral medicines, nasal and throat sprays, and topical compositions. A particular utility is in the formulation of antacid and indigestion remedies. An anti-inflammatory effect of the compounds of formula (I) is not disclosed. [0008] More than fifty compounds of formula (I) are specifically mentioned in US4,136,163. Although menthane car- 30 boxylic acid-N-(4-methoxyphenyl)-amide is one of the compounds explicitly mentioned, no example of a composition comprising said compound is provided. Indeed, none of the twenty-four given composition examples comprises any compound of formula (I) wherein R’ is hydrogen and R" is an aryl radical of up to 10 carbon atoms as defined above. [0009] WO2009 021558A1relates to products and mixtures comprising (a) pellitorin and (b) selected cooling agents different from menthane carboxylic acid-N-(4-methoxyphenyl)-amide, and the use of such mixtures for soothing irritated 35 oral and/or nasal tissues and for reducing bitterness. The mixture optionally comprises one or more additional physio- logical cooling agents selected from the group consisting of N-substituted-p-menthane-3-carboxamides (as described in US 4,136,163), acyclic tertiary and secondary carboxamides, 3-(I-menthoxy)propan-1,2-diol, monomenthyl glutarate, monomenthyl succinate and its salts. The sole specific example of an N-substituted-p-menthane-3-carboxamide given in the document is ethyl-p-menthane-3-carboxamide. An anti-inflammatory effect of N-substituted-p-menthane-3-car- 40 boxamides is not disclosed. [0010] US6,231,900B1discloses a pastille confectionery product, suitable for the relief of cough and cold symptoms, comprising a coolant composition and a flavour composition each composition being in separate, distinct and discrete regions of the product, the coolant and flavour compositions being adapted to provide different release profiles; wherein the coolant composition is free of flavouring agents and the flavour composition is essentially free of cooling agents. 45 Anti-irritant or anti-inflammatory effects are not mentioned. [0011] US2009/0238905A1relates to a composition for reducing inflammation and irritation of endodermal tissue, such as that in the gastrointestinal tract and the respiratory tract. The formulation comprises an ingestible carrier or coating and an active mixture that includes bisabolol or extracts containing bisabolol and a ginger composition. The composition advantageously comprises one or more cooling agents, among others the above-mentioned menthyl-3-carboxylic acid 50 N-ethylamide. No further cooling agents of formula (I) are mentioned in US 2009/0238905. The ratio of bisabolol to the ginger composition in the active mixture is such that an irritation reducing action, an inflammation reducing action, or both, of the bisabolol and the ginger composition is increased synergistically. The composition may comprise further anti-inflammatories selected from -type steroidal actives, non-steroidal active, and combinations thereof; and natural anti-inflammatory substances. Thus, the anti-irritating and anti-inflammatory action of the compositions is 55 the result of the presence of ginger and bisabolol and (if present) one or more further conventional anti-inflammatories. [0012] WO2007 021603A1describes a composition for modulating oral and/or nasal secretion comprising a salivating agent and a cooling agent comprising , peppermint oil, N-substituted-p-menthane-3-carboxamides (as described in describedin US 4,136,163), acyclic tertiary and secondary carboxamides, 3-1-menthoxy propan-1,2-diol, monomenthyl

3 EP 2 730 280 A1

glutarate and mixtures thereof. The sole specific example of an N-substituted-p-menthane-3-carboxamide given in this document is ethyl-p-menthane-3-carboxamide. An anti-inflammatory effect of N-substituted-p-menthane-3-carboxam- ides is not disclosed. [0013] WO2008 015403A1discloses the use of a transient potential (TRP) M8 cation channel activating agent 5 in the manufacture of a medicament for the induction of analgesia in a patient suffering from or experiencing chronic neuropathic pain, wherein the TRPM8 activating agent is the menthyl derivative compound 2-isopropyl-5-methyl-cy- clohexanecarboxylic acid 4-methoxyphenyl amide (WS12). The list of chronic neuropathic pains includes inflammatory pain states. Thus, while this medicament is useful in treating pain as a symptom of an inflammation, it is not disclosed to be effective against the inflammation as such which is the cause of the pain. 10 [0014] In a nut shell, so far none of the actives known from the state of the art have been found to satisfy the needs of the consumers. Those showing a high performance also exhibit severe negative side-effects, those which were founds to be safe, do not show either sufficient activity or limited with respect to the various reason that lead to inflammation. Thus, there is an on-going need for substances having an anti-inflammatory effect, in particular for the treatment of, , colds, oral, nasal, throat or pharyngeal inflammation, sore throat, hoarseness and other of the 15 respiratory tract. Therefore the problem underlying the present invention has been identifying a new active that simul- taneously fulfils the following complex profile:

d toxicologically safe,

20 d well tolerated by the skin,

d stabile (in particular in pharmaceutical formulations),

d low odour or (as far as possible) odourless, 25 d colourless and not discolouring, and

d economical to produce (i.e. by using standard methods and/or on the basis of standard precursors).

30 [0015] In this context it should be noted, that the search for anti-inflammatories having one or more of the said char- acteristics to a sufficient degree, is made harder for a person skilled in the art by the fact that there is not clear dependen cy between the chemical structure of a substance on the one hand and its anti-inflammatory activity and its stability on the other. Furthermore, there is no predictable correlation between the anti-inflammatory effect, the toxicological safety, the tolerance by the skin and/or the stability. 35 Description of the invention

[0016] A first object of the present invention is directed to a pharmaceutical composition comprising menthane car- boxylic acid-N-(4-methoxy-phenyl)-amide. 40 [0017] Additional objects of the present invention concern a pharmaceutical composition comprising menthane car- boxylic acid-N-(4-methoxy-phenyl)-amide for:

d Treating and/or preventing skin inflammation.

45 d Reducing the release of TNF-α (Tumor necrosis factor-alpha).

d Reducing the release of an interleukin.

d Reducing the release of a prostaglandin. 50 d Reducing the release of interferon-gamma (INF-γ) and/or NF-κB (nuclear factor kappa-light-chain-enhancer of activated B cells).

[0018] Surprisingly, it has been observed that menthane carboxylic acid-N-(4-methoxyphenyl)-amide has a powerful 55 anti-inflammatory effect and fulfills the complex profile explained above.

4 EP 2 730 280 A1

Menthane carboxylic acid-N-(4-methoxy-phenyl)-amide

[0019] The compound menthane carboxylic acid-N-(4-methoxyphenyl)-amide comprises two enatiomers, namely L- menthane carboxylic acid-N-(4-methoxyphenyl)-amide and D- menthane carboxylic acid-N-(4-methoxyphenyl)-amide. 5 It has been found that the anti-inflammatory effect of the L-enantiomer is significantly more pronounced than that of the D-enantiomer. For this reason, the menthane carboxylic acid-N-(4-methoxyphenyl)-amide for use as a medicament according to the present invention is preferably L-menthane carboxylic acid-N-(4-methoxyphenyl)-amide. Accordingly, the component (A) of the mixture according to the invention preferably comprises, essentially consists of or consists of L-menthane carboxylic acid-N-(4-methoxyphenyl)-amide. 10 [0020] The active is known in the art and has widely been used as a cooling agent. Another conventional application of menthane carboxylic acid-N-(4-methoxyphenyl)-amide exploits the capability of that compound to mask the bitterness of menthol. EP 2 186 506 discloses teeth-cleaning composition comprising a cleaning agent and a flavoring composition, which consists of menthol, menthane carboxylic acid-N-(4-methoxyphenyl)-amide in an amount to mask the bitterness of menthol and at least one further flavoring agent Based on these conventional fields of application of menthane 15 carboxylic acid-N-(4-methoxyphenyl)-amide the skilled person would not reasonably have expected that this compound is capable of inhibiting, reducing and/or relieving an inflammation. In this regard it has to be noted that the known application of cooling agents, although being useful in the treatment of pain and heat as clinical signs or symptoms of an inflammation, does not affect the inflammation mechanism as such, because physiological cooling substances merely interact with receptors present in the skin. The cold sensation is detected by receptors belonging to the transient receptor 20 potential (TRP) superfamily. Migration of calcium through the channels is responsible for the changes in the perception of the temperature.,As explained above, the release of inflammatory mediators is responsible for the clinical signs of an inflammation. Thus, in order to to inhibit, reduce and/or relieve skin-inflammation it is of crucial importance to reduce the release of such mediators. The most important inflammation mediators are those selected from the group consisting of TNF-α (Tumor necrosis factor-alpha), interleukins (in particular of IL-1, IL-6, IL-7, IL-8, IL-10, IL-13, IL-17, 25 IL-18 and/or IL-31, in particular IL-1), (in particular PGI2, PGE2 and/or PGF2α) Interferon-gamma (INF- γ) and NF-κB (nuclear factor kappa-light-chain-enhancer of activated B cells. The anti-inflammatory effect of menthane carboxylic acid-N-(4-methoxyphenyl)-amide, and in particular of L-menthane carboxylic acid-N-(4-methoxyphe- nyl)-amide may be based (without being bound to this theory) inter alia on its characteristic of inhibiting the up-regulation of inflammatory mediators, including interleukins (in particular IL-1 and IL-6), PGE-2 () and in particular 30 TNF-alpha (tumor necrosis factor alpha) caused by extrinsic and intrinsic factors. It can therefore be used as an out- standing alternative or as an addition to other already well-known anti-inflammatory compounds (active substances) in cosmetic and pharmaceutical preparations or similar as an anti-inflammatory active substance

Pharmaceutical compositions 35 [0021] The pharmaceutical compositions according to the present invention may comprise at least one additional active principle selected from the group consisting of

(A) Antitussives (cough suppressants); 40 (B) Expectorants;

(C) Local anaesthetics;

45 (D) ;

(E) ;

(F) ; 50 (G) Antiseptics;

(H) Vitamins and

55 and their mixtures.

5 EP 2 730 280 A1

A. Antitussives

[0022] The mixture of the present invention may comprise one or more antitussives. One or more synthetic (A1) as well as one more herbal (A2)antitussives as well as mixtures consisting of one or more synthetic and one or more herbal 5 antitussives may be included in constituent The one or more antitussives of constituent (A) of the mixture of the present invention are preferably selected from the group consisting of:

(A1) , , , , Diacetylmorphine, , , , , , , , , Levopro- 10 poxyphene, , , Nicodicodeine, , , , , Tipepi- dine, , , , , , , , , , Sodium , , , , , Isoaminile, Levodropropiz- ine, , , , , , , , , Piperid- ione, and Theobromine, and the corresponding salts, preferably the hydrochlorides, of these compounds, 15 and

(A2) primrose root extract, extract of Iceland moss ( Cetraria islandica), chamomile extract, extract of ribwort plantain (Plantago lanceolata), leaf or flower extracts ofMalva sylvestris, and extract of Sundew (Drosera, preferably D. rotundifolia, D. intermedia, D. anglica, D. ramentacea and/or D. Madagascariensis, preferably an extract of roots, 20 flowers, and/or the fruit-like capsules thereof), and their mixtures

[0023] Further preferably, the one or more antitussives of constituent (A) of the mixture of the present invention (as defined above) are selected from the group consisting of primrose root extract, Iceland moss extract, chamomile extract, 25 extract of ribwort plantain (Plantago lanceolata), Acetyldihydrocodeine, Benzylmorphine, Codeine, Dextromethorphan, Diacetylmorphine, Dihydrocodeine, Dimemorfan, Droxypropine, Ethylmorphine, Hydrocodone, Hydromorphone, Isoam- inile, Levomethadone, , Methadone, Nicocodeine, Nicodicodeine, Normethadone, Noscapine, Phol- codine, Thebacon, , Zipeprol, Benzonatate, Benproperine, Bibenzonium bromide, Butamirate, Clobutinol, Clofedanol, Cloperastine, Diphenhydramine, Sodium Dibunate, Dimethoxanate, Dropropizine, Fedrilate, Glaucine, Iso- 30 aminile, , Meprotixol, Morclofone, Nepinalone, Oxolamine, Oxeladin, Pentoxyverine, Pipazetate, Prenoxdiazine, , and Theobromine. Most preferably the one or more antitussives of constituent (A) of the mixture of the present invention (as defined above) are selected from the group consisting of Iceland moss extract, extract of ribwort plantain (Plantago lanceolata), Acetyldihydrocodeine, Codeine, Dextromethorphan, Dihydrocodeine, Dimemorfan, Hydrocodone, Benproperine, Clobutinol, and Pentoxyverine, and their mixtures. 35 B. Expectorants

[0024] Constituent (B) of the mixture of the present invention may comprise of one or more expectorants. One or more synthetic (B1) as well as one more herbal (B2) expectorants as well as mixtures consisting of one or more synthetic and 40 one or more herbal expectorants may be included in constituent (B).The one or more expectorants of constituent (B) of the mixture of the present invention are preferably selected from the group consisting of:

(B1 , , Clenbuterol, Dembrexin, , , and the corresponding salts, pref- erably the hydrochlorides, of these compounds, 45 and

(B2) , Levoverbenone, , , Carbocysteine, , , , , , , , , , pentasulfide, sulfonate, , , thyme extract, ivy extract (preferably ivy leaf extract), cajeput oil, mountain pine oil, 50 noble fir oil, licorice root extract, licorice juice, extract ofRadix Pimpinellae, chestnut leaf extract (preferably of Castanea sativa), lavender spike oil (Lavandula latifolia), elderberry extract (preferably elderberry flower extract), extract of White Horehound Marrubium vulgare), extract of Horsetail herb (Equisetum arvense), flower extract of Verbascum densiflorum, Senega (Polygala senega) root extract, extract of Marshmallow (Althaea officinalis) (pref- erably leaf or root extract), 55 And their mixtures [0025] More preferably, the one or more expectorants of constituent (B) of the mixture of the present invention are selected from the group consisting of mucolytic agents, preferably selected from the group consisting of camphor, thyme

6 EP 2 730 280 A1

extract, ivy leaf extract, Acetylcysteine, Ambroxol, Ambroxol hydrochloride, Bromhexine, Bromhexine hydrochloride, Carbocysteine, Domiodol, Dornase alfa, Eprazinone, Eprazinone hydrochloride, Erdosteine, Letosteine, Mesna, Nelten- exine, Neltenexine hydrochloride, Sobrerol, Stepronin, and Tiopronin. Most preferably the one or more expectorants of constituent (B) of the mixture of the present invention are selected from the group consisting of ivy leaf extract, Acetyl- 5 , Ambroxol hydrochloride, Bromhexine, and Bromhexine hydrochloride, and their mixtures.

C. Local anaesthetics

[0026] Optional constituent (C) of the mixture of the present invention encompass one or more local anaesthetics. It 10 has been found that the presence of one or more local anaesthetics (C) in the mixture has the beneficial effect of soothing the pain which is one of the clinical signs or symptoms of an inflammation (see above). In this regard it has to be noted that the one more local anaesthetics (C) are not necessary to inhibit, reduce and/or relieve the inflammation since a mixture according to the invention of identical composition (with the exception that no local anaesthetic (C) is present) is also capable of inhibiting, reducing and/or relieving the inflammation. 15 [0027] The one or more local anaesthetics of constituent (C) of the mixture of the present invention are preferably selected from the group consisting of Benzocaine, Chloroprocaine, Cyclomethycaine, Dimethocaine, Larocaine, Piper- ocaine, Propoxycaine, , Novocaine, Proparacaine, and Amethocaine, Articaine, Bupivacaine, Cin- chocaine, Dibucaine, Etidocaine, Levobupivacaine, , Lignocaine, Mepivacaine, Prilocaine, Ropivacaine, and Trimecaine, and the corresponding salts, preferably the hydrochlorides, of these compounds. More preferably, the one 20 or more local anaesthetics of constituent (C) of the mixture of the present invention are selected from the group consisting of Benzocaine, Dimethocaine, Larocaine, Piperocaine, Propoxycaine, Procaine, Novocaine, Proparacaine, Cinchocaine, Dibucaine, Lidocaine, Lignocaine, Mepivacaine, and Prilocaine, or a corresponding , preferably a hydrochloride, of these compounds. Most preferably, the one or more local anaesthetics of constituent (C) of the mixture of the present invention are selected from the group consisting of Benzocaine, Novocaine, and Lidocaine, and the corresponding salts, 25 preferably the hydrochlorides, of these compounds, and their mixtures.

D. Decongestants

[0028] Optional constituent (D) of the mixture of the present invention encompass one or more decongestants. It has 30 been found that the presence of one or more decongestants (D) in the mixture has the beneficial effect of soothing and reducing the swelling which is one of the clinical signs or symptoms of an inflammation. In this regard it has to be noted that the one more decongestants (D) are not necessary to inhibit, reduce and/or relieve the inflammation since a mixture according to the invention of identical composition (with the exception that no (D) is present) is also capable of inhibiting, reducing and/or relieving the inflammation. 35 [0029] The one or more decongestants of constituent (D) of the mixture of the present invention are preferably selected from the group consisting of , Levo-, , , , Phe- nylpropanolamine, , , Synephrine, Tetrahydrozoline, , , Epinephrine, , Levonordefrin, Mephentermine, , Norepinephrine, , , Tu- aminoheptane, and , and the corresponding salts, preferably the hydrochlorides, of these 40 compounds. More preferably, the one or more decongestants of constituent (D) of the mixture of the present invention (as defined above) are selected from the group consisting of Naphazoline, Oxymetazoline, Phenylephrine, Propylhexe- drine, Pseudoephedrine, Tetrahydrozoline, Epinephrine, Norepinephrine, Tetryzoline, Tramazoline, Tymazoline and Xylometazoline, or a corresponding salt, preferably a hydrochloride, of these compounds. Most preferably, the one or more decongestants of constituent (D) of the mixture of the present invention (as defined above) are selected from the 45 group consisting of Naphazoline, Oxymetazoline, Phenylephrine, Epinephrine, Tetryzoline, Tramazoline, and Xylom- etazoline, or a corresponding salt, preferably a hydrochloride, of these compounds, and their mixtures

E. Antihistamines

50 [0030] Optional constituent (E) of the mixture of the present invention encompass one or more antihistamines preferably one or more H 1 receptor antagonists. It has been found that the presence of one or more antihistamines (E) in the mixture has the beneficial effect of suppressing the -induced swelling and vasodilation (flare) response. Sewelling and redness (as the result of vasodiliation) belong to the clinical signs or symptoms of an inflammation. In this regard it has to be noted that the one more antihistamines (E) are not necessary to inhibit, reduce and/or relieve the inflammation 55 since a mixture according to the invention of identical composition (with the exception that no (E) is present) is also capable of inhibiting, reducing and/or relieving the inflammation. The one or more antihistamines of constituent (E) are preferably selected from the group consisting of Diphenhydramine, , , , Terfena- dine, , , and , and the corresponding salts, preferably the hydro-

7 EP 2 730 280 A1

, of these compounds. Most preferably constituent (E) comprises or consists of Triprolidine and/or Triprolidine hydrochloride, and their mixtures

F. Analgesics 5 [0031] Optional constituent (F) of the mixture of the present invention encompass one or more analgesics. It has been found that the presence of one or more analgesics (F) in the mixture has the beneficial effect of soothing the pain which is one of the clinical signs or symptoms of an inflammation. In this regard it has to be noted that the one more analgesics (F) are not necessary to inhibit, reduce and/or relieve the inflammation since a mixture according to the invention of 10 identical composition (with the exception that no (F) is present) is also capable of inhibiting, reducing and/or relieving the inflammation. The one or more analgesics of constituent (F) are preferably selected from the group consisting of acetyl and its pharmaceutically acceptable salts, , , , Tarenflurbil, lbuprofen, , , , and . Most preferably the one or more analgesics of constituent (F) are selected from the group consisting of Diclofenac, Flurbiprofen, lbuprofen, Naproxen, Paracetamol 15 and their mixtures

G. Antiseptics

[0032] Optional constituent (G) of the mixture of the present invention (as defined above) consists of one or more 20 antiseptics, preferably selected from the group consisting of , , chlorhexidine, 2,4-dichlorobenzyl , amylmetacresol, diisethionate and quaternary ammonium compounds. It has been found that the presence of one or more antiseptics (G) in the mixture has the beneficial effect of reducing the risk of infection, sepsis, or putrefaction. In this regard it has to be noted that the one more antiseptics (G) are not necessary to inhibit, reduce and/or relieve the inflammation since a mixture according to the invention of identical composition (with the exception 25 that no antiseptic (G) is present) is also capable of inhibiting, reducing and/or relieving the inflammation. The one or more antiseptics of constituent (G) are preferably selected from the group consisting of benzalkonium chloride, cetyl trimethylammoniumbromide, , benzethoniumchloride anddequalinium chloride.More preferably, the one or more antiseptics of constituent (G) are selected from the group consisting of sodium chloride, ethanol, chlorhexidine, 2,4-dichlorobenzyl alcohol, amylmetacresol, hexamidine diisethionate, benzalkonium chloride, cetyl tri- 30 methylammonium bromide, cetylpyridinium chloride and benzethonium chloride. Most preferably, the one or more an- tiseptics of constituent (G) selected from the group consisting of sodium chloride, ethanol, chlorhexidine, hexamidine diisethionate, benzalkonium chloride, cetyl trimethylammonium bromide, cetylpyridinium chloride and dequalinium chlo- ride, and their mixtures.

35 H. Vitamins and Antibiotics

[0033] Optional constituent (H) of the mixture of the present invention encompass one or more vitamins (H1) or antibiotics (H2) chose from the following groups (H2) vitamin C (ascorbic acid), zinc-compounds, Dexpanthenol, calcium pantothenate, Aloe vera extract, extract of 40 Hedge mustard (Sisymbrium officinale), alpha bisabolol, extract of ginger, and (H2) Tyrothricin, Fusafungine, Bacitracin, Gramicidin, and extract of Umckaloabo (Pelargonium sidoides), and their mixtures. [0034] In as far combinations of the active principles become part of the compositions of the inventions, it should be 45 understood that it is preferred to combine those actives chosen from the sub-groups A to H which are individually preferred within said sub-groups. [0035] The compositions may also include pharmaceutically acceptable solvents such as for example water, ethanol, ethylene glycol, and the like. [0036] It is further preferred that the pharmaceutical compositions are essentially free of tingling sensates, preferably 50 the mixture does not contain 2E,4E-decadienoic acid-N-isobutylamide and 2E,4E-undecadienoic acid-N-isobutylamide, more preferably the mixture is free of tingling sensates, salivating agents and/or warming sensates, because sometimes those substances have been found to enhance clinical signs or symptoms of an inflammation like pain, heat and redness. [0037] Said pharmaceutical compositions may comprise the menthane carboxylic acid-N-(4-methoxy-phenyl)-amide in amounts of about 0.0001 to about 1.0, preferably about 0.001 to about 0.1 and more preferably of about 0.01 to about 55 0.05 % b.w. - calculated on final composition. It needs to be mentioned that the preferred concentration for said amide is by far lower than the concentration needed to achieve a cooling sensation. The compositions may comprise the amides and the secondary active principles in weight ratios of about 1:9 to about 9:1, preferably about 3:7 to about 7:3 and more preferably about 4:6 to about 6:4.

8 EP 2 730 280 A1

Oral compositions

[0038] Another object of the present invention refers to an oral composition comprising

5 (a) menthane carboxylic acid-N-(4-methoxy-phenyl)-amide,

(b) a pharmaceutically acceptable carrier, and optionally

(c) at least one additional active principle and/or 10 (d) at least one aroma or flavouring compound and/or

(e) at least one sweetener.

15 [0039] Said oral compositions can represent a final product directed to the consumer, but may also serve as an intermediate for producing a pharmaceutical composition.

Carriers

20 [0040] In the context of the present invention the pharmaceutical acceptable carrier (component b) can be chosen from water and aliphatic alcohols or polyols having 2 to 15 carbon atoms, including esters of said polyols. Preferably, ethanol, isopropyl alcohol or polyols, may be used as cosmetically acceptable carriers. Suitable polyols preferably contain 2 to 15 carbon atoms and at least two hydroxyl groups. The polyols may contain other functional groups, more especially amino groups, or may be modified with nitrogen. Typical examples are 25 d glycerol;

d alkylene glycols such as, for example, ethylene glycol, diethylene glycol, propylene glycol, butylene glycol, hex- ylene glycol and polyethylene glycols with an average molecular weight of 100 to 1000 Dalton; 30 d technical oligoglycerol mixtures with a degree of self-condensation of 1.5 to 10, such as for example technical diglycerol mixtures with a diglycerol content of 40 to 50% by weight;

d lower alkyl glucosides, particularly those containing 1 to 8 carbon atoms in the alkyl group, for example methyl 35 and butyl glucoside;

d sugar alcohols containing 5 to 12 carbon atoms, for example or ,

d sugars containing 5 to 12 carbon atoms, for example glucose or sucrose 40

and their mixtures. Also suitable are esters of or C6-C22 fatty with glycerol, sch as diacetin, triacetin, and mono-, di- and/or triglycerides.

Active principles 45 [0041] The oral compositions according to the present invention may comprise additional active principles (component c) selected from the group consisting of antitussives (cough suppressants), expectorants, local anaesthetics, decon- gestants, antihistamines analgesics, antiseptics and their mixtures. Examples for each of these sub-groups are provided above. 50 Aroma or flavouring compounds

[0042] Aroma compounds and flavouring agents (component d) are well known in the art can be added to the flavour compositions of the invention. These flavouring agents can be chosen from synthetic flavouring liquid and/or oils derived 55 from plants leaves, flowers, fruits and so forth, and combinations thereof. Representative flavouring liquids include: artificial, natural or synthetic fruit flavours such as eucalyptus, lemon, orange, banana, grape, lime, apricot and grapefruit oils and fruit essences including apple, strawberry, cherry, orange, pineapple and so forth; bean and nut derived flavours such as coffee, cocoa, cola, peanut, almond and so forth; and root derived flavours such as licorice or ginger.

9 EP 2 730 280 A1

[0043] The flavouring agent is preferably selected from the group consisting of essential oils and extracts, tinctures and balsams, such as, for example, anisole, basil oil, bergamot oil, bitter almond oil, camphor oil, citronella oil, lemon oil; Eucalyptus citriodora oil, eucalyptus oil, fennel oil, grapefruit oil, camomile oil, spearmint oil, caraway oil, lime oil, mandarin oil, nutmeg oil (in particular nutmeg blossom oil = maces oil, mace oil), myrrh oil, clove oil, clove blossom oil, 5 orange oil, oregano oil, parsley (seed) oil, peppermint oil, rosemary oil, sage oil (clary sage, Dalmatian or Spanish sage oil), star aniseed oil, thyme oil, vanilla extract, juniper oil (in particular juniper berry oil), wintergreen oil, cinnamon leaf oil; cinnamon bark oil, and fractions thereof, or constituents isolated therefrom. [0044] It is of particular advantage if the flavoured composition according to the invention comprises at least one flavouring agent, preferably two, three, four, five, six, seven, eight or more flavouring agents chosen from the following 10 group: menthol (preferably 1-menthol and/or racemic menthol), anethole, anisole, anisaldehyde, anisyl alcohol, (racemic) neomenthol, eucalyptol (1,8-cineol), menthone (preferably L-menthone), isomenthone (preferably D-isomenthone), iso- pulegol, menthyl acetate (preferably L-menthyl acetate), menthyl propionate, (preferably (-)-carvone, optionally as a constituent of a spearmint oil), (optionally as a constituent of a wintergreen oil), eugenol acetate, isoeugenol methyl ether, beta-homocyclocitral, eugenol, isobutyraldehyde, 3-octanol, dimethyl , hexanol, hexanal, 15 trans-2-hexenal, cis-3-hexenol, 4-terpineol, piperitone, linalool, 8-ocimenyl acetate, isoamyl alcohol, isovaleraldehyde, alpha-, beta-pinene, limonene (preferably D-limonene, optionally as a constituent of an essential oil), piperitone, trans-sabinene hydrate, menthofuran, caryophyllene, germacrene D, cinnamaldehyde, mint lactone, thymol, gamma- octalactone, gamma-nonalactone, gamma-decalactone, (1,3E,5Z)-undecatriene, 2-butanone, ethyl formate, 3-octyl ac- etate, isoamyl isovalerate, cis- and trans-carvyl acetate, p-cymol, damascenone, damascone, cis-rose oxide, trans-rose 20 oxide, fenchol, acetaldehyde diethyl acetal, 1-ethoxyethyl acetate, cis-4-heptenal, cis-jasmone, methyl dihydrojas- monate, 2’-hydroxypropiophenone, menthyl methyl ether, myrtenyl acetate, 2-phenylethyl alcohol, 2-phenylethyl isobu- tyrate, 2-phenylethyl isovalerate, geraniol, nerol and viridiflorol. [0045] In particular preferred aroma or flavouring compounds encompass menthol, cineol, eugenol, thymol, cinnamic aldehyde, peppermint oil, spearmint oil, eucalyptus oil, thyme oil, cinnamon oil, clove oil, spruce needle oil, fennel oil, 25 sage oil, aniseed oil, star anise oil, chamomile oil, and caraway oil, and their mixtures.

Sweeteners

[0046] Suitable sweet-tasting substances, including natural sources of these substances (component e), such as for 30 example sweet-tasting carbohydrates or sugars (e.g. sucrose (synonymous with saccharose), trehalose, lactose, mal- tose, melizitose, raffinose, palatinose, lactulose, D-fructose, D-glucose, D-galactose, L-rhamnose, D-sorbose, D-man- nose, D-tagatose, D-arabinose, L-arabinose, D-ribose, D-glyceraldehyde, maltodextrin) or vegetable preparations con- taining predominantly these carbohydrates (e.g. from sugar beet (Beta vulgaris ssp., sugar fractions, sugar syrup, mo- lasses), from sugar cane (Saccharum officinarum ssp., e.g. molasses, sugar syrups), from sugar maple (Acer ssp.), 35 from agave (agave thick juice), synthetic/enzymatic hydrolysates of starch or sucrose (e.g. invert sugar syrup, highly enriched fructose syrups made from corn starch), fruit concentrates (e.g. from apples or pears, apple syrup, pear syrup), sugar alcohols (e.g. erythritol, threitol, arabitol, ribitol, xylitol, sorbitol, mannitol, dulcitol, lactitol), proteins (e.g. miraculin, monellin, thaumatin, curculin, brazzein), sweeteners (magap, sodiumcyclamate, acesulfame K, neohesperidin dihydro- chalcone, saccharin sodium salt, aspartame ®, superaspartame, neotame, alitame, sucralose, stevioside, rebaudioside, 40 lugduname, carrelame, sucrononate, sucrooctate, monatin, phyllodulcin), certain sweet-tasting amino acids (, D- leucine, D-threonine, D-asparagine, D-, D-tryptophan, L-proline), other sweet-tasting low-molecular sub- stances (e.g. hernandulcin, dihydrochalcone glycosides, glycyrrhizin, glycyrrhetinic acid ammonium salt or other glycyr- rhetinic acid derivatives), liquorice extracts (Glycyrrhizza glabra ssp.), Lippia dulcis extracts, Momordica ssp. extracts or individual substances (in particular Momordica grosvenori [Luo Han Guo] and the mogrosides obtained therefrom), 45 Hydrangea dulcis or Stevia ssp. (e.g. Stevia rebaudiana) extracts or individual substances.

Physical appearance of the compositions

[0047] The pharmaceutical compositions according to the represent invention may represent solutions, emulsions, 50 oral rinses, sprays, syrups, tablets, capsules, granules, pellets, films or confectioneries as for example hard candies, soft candies, throat lozenges, cough lozenges, medicinal pastilles, throat discs, film strips, chewable tablets, effervescent tablets, throat sprays, nasal sprays, nasal drops or cough syrups. In as far oral compositions are concerned these embodiments may also represent tooth pastes, mouthwashes or chewing gums. [0048] A pharmaceutical or an oral compositon, in particular the liquid or solid form as described above can furthermore 55 be processed by encapsulation in order to obtain either mcro- or micro-capsules- [0049] To obtain macro-capsules the compositions are typically encapsulated with a solid shell material, which is preferably chosen from starches, degraded or chemically or physically modified starches (in particular dextrins and maltodextrins), gelatines, wax materials, liposomes, gum arabic, agar-agar, ghatti gum, gellan gum, modified and non-

10 EP 2 730 280 A1

modified celluloses, pullulan, curdlan, carrageenans, algic acid, alginates, pectin, inulin, xanthan gum and mixtures of two or more of said substances. The solid shell material is preferably selected from gelatine (pork, beef, poultry and/or fish gelatines or mixtures thereof, preferably including at least one gelatine having a Bloom value of greater than or equal to 200, preferably having a Bloom value of greater than or equal to 240), maltodextrin (preferably obtained from 5 maize, , tapioca or potato, preferred maltodextrins displaying a DE value in the range from 10 to 20), modified cellulose (e.g. cellulose ether), alginates (e.g. Na alginate), carrageenan (beta-, iota-, lambda- and/or kappa-carrageen- an), gum arabic, curdlan and/or agar-agar. Gelatine is used in particular because of its good availability in various Bloom values. Particularly preferred for oral hygiene purposes are seamless gelatine or alginate capsules, whose shell dissolve very quickly in the mouth or bursts when chewed, thus releasing the active ingredient in the oral cavity. Production can 10 take place as described for example in EP 0389700 A, US 4,251,195, US 6,214,376, WO 2003 055587 A1 or WO 2004 050069 A1. [0050] On the other hand, the term "microcapsule" is understood describing a spherical aggregate with a diameter of about 0.1 to about 5 mm which contain at least one solid or liquid core surrounded by at least one continuous membrane. More precisely, they are finely dispersed liquid or solid phases coated with film-forming polymers, in the production of 15 which the polymers are deposited onto the material to be encapsulated after emulsification and coacervation or interfacial polymerization. In another process, liquid active principles are absorbed in a matrix ("microsponge") and, as micropar- ticles, may be additionally coated with film-forming polymers. The microscopically small capsules, also known as nano- capsules, can be dried in the same way as powders. Besides single-core microcapsules, there are also multiple-core aggregates, also known as microspheres, which contain two or more cores distributed in the continuous membrane 20 material. In addition, single-core or multiple-core microcapsules may be surrounded by an additional second, third etc. membrane. The membrane may consist of natural, semisynthetic or synthetic materials. Natural membrane materials are, for example, gum arabic, agar agar, agarose, maltodextrins, alginic acid and salts thereof, for example sodium or calcium alginate, fats and fatty acids, cetyl alcohol, , chitosan, lecithins, gelatin, albumin, shellac, polysaccha- rides, such as starch or , polypeptides, protein hydrolyzates, sucrose and waxes. Semisynthetic membrane 25 materials are inter alia chemically modified celluloses, more particularly cellulose esters and ethers, for example cellulose acetate, ethyl cellulose, hydroxypropyl cellulose, hydroxypropyl methyl cellulose and carboxymethyl cellulose, and starch derivatives, more particularly starch ethers and esters. Synthetic membrane materials are, for example, polymers, such as polyacrylates, polyamides, polyvinyl alcohol or polyvinyl pyrrolidone. Examples of known microcapsules are the following commercial products (the membrane material is shown in brackets) Hallcrest Microcapsules (gelatin, gum 30 arabic), Coletica Thalaspheres (maritime collagen), Lipotec Millicapseln (alginic acid, agar agar), Induchem Unispheres (lactose, microcrystalline cellulose, hydroxypropylmethyl cellulose), Unicetin C30 (lactose, microcrystalline cellulose, hydroxypropylmethyl cellulose), Kobo Glycospheres (modified starch, fatty acid esters, phospholipids), Softspheres (modified agar agar) and Kuhs Probiol Nanospheres (phospholipids). [0051] According to an alternative, preferred embodiment, a pharmaceutical product or an oral a flavoured composition 35 according to the invention, optionally with further constituents of the preparation according to the invention, into emulsions, into liposomes, for example starting from phosphatidyl choline, into microspheres, into nanospheres or also into capsules, granules or extrudates prepared from a matrix (carrier) suitable for pharmaceutical products, for example prepared from starch, starch derivatives (for example modified starch), cellulose or cellulose derivatives (for example hydroxypropyl- cellulose), other polysaccharides (for example dextrin, alginate, curdlan, carageenan, chitin, chitosan, pullulan), natural 40 fats, natural waxes (for example beeswax, carnauba wax), prepared from proteins, for example gelatin or other natural products (for example shellac) or non-natural matrix materials (such as polyurea). In said embodiment, depending on the matrix, the products may be treated by spray drying, spray granulation, melt granulation, coacervation, coagulation, extrusion, melt extrusion, emulsion methods, coating or other suitable encapsulation methods and optionally a suitable combination of the above-stated methods. 45 Industrial application

[0052] A final object of the present invention is directed to a non-therapeutic method for treating and/or preventing inflammations of the respiratory tract wherein a working amount of menthane carboxylic acid-N-(4-methoxy-phe- 50 nyl)-amide in a pharmaceutical acceptable solvent is administered orally. More particularly, the amide can be used for the treatment of coughs, colds, oral, nasal, throat or pharyngeal inflammation, sore throat, hoarseness and other inflam- mations of the respiratory tract.

55

11 EP 2 730 280 A1

Examples

Examples 1 to 3

5 Anti-inflammatory effect

[0053] In the course of cutaneous inflammations, leukocytes, such as, for example, the polymorphonuclear neutrophilic granulocytes (PMN), are stimulated by peptides, such as, for example, cytokines, to emit messenger substances, such as, for example, leucotriene, which are released from activated or necrotic cells in the dermis. These activated PMNs 10 release not only proinflammatory cytokins, leucotrienes and proteases, but also ROS, such as, for example, superoxides and hypochlorite anions, which have the task of destroying pathogenic microbes or fungi which have penetrated it. This activity of the PMNs during inflammation is known as respiratory burst and can lead to additional tissue damage. To investigate to what extent the amide is able to prevent or reduce respiratory burst, a cell line of human leucemic gran- ulocytes of these PMNS was incubated together with the test substances at 37 °C. from 5% by volume of CO2. After 15 the respiratory burst had been triggered by adding a yeast extract (zymosan) to the cell solution, the release of superoxide anions was determined by means of their reaction with Luminol. The results are summarized inTable 1. The values given are the cell numbers and the amount of released ROS in relative percentages compared with the standard as an average value of a measurement series with triplicate determination.

20 Table 1 Respiratory burst Ex. Active Concentration% b.w. Cell numbers Released ROS 0 None 100 100 25 1 Menthane carboxylic acid-N-(4-methoxy- 0.001 1046137625 phenyl)-amide 20.019463964 30.19361864

30 [0054] The results from Table 1 clearly show that menthane carboxylic acid-N-(4-methoxyphenyl) amide has a strong inhibiting effect on the respiratory burst of human granulocytes without damaging the granulocytes. [0055] The following Tables 2 to 6 show various formulations for oral compositions comprising a working amount of menthane carboxylic acid-N-(4-methoxyphenyl) amide 35 Table 1 Composition cough syrup Component Conc.[% b.w.] 40 Sorbit 34.0 Xanthan gum 0.7 0.3

45 Potassium sorbate 0.1 Anise aroma 0.02 Menthane carboxylic acid-N-(4-methoxy-phenyl)-amide 0.01 Water Ad 100 50

Table 2 Composition hard candy against cough 55 Component Conc.[% b.w.] Saccharose 60.0

12 EP 2 730 280 A1

(continued)

Composition hard candy against cough Component Conc.[% b.w.] 5 Glucose syrup 30.0 Menthol 0.5 Spearmint oil 0.5 10 Menthane carboxylic acid-N-(4-methoxy-phenyl)-amide 0.01 Dye (caramel) 0.3 Water Ad 100

15 Table 3 Composition throat spray Component Conc.[% b.w.] 20 2,3 Dichlorbenzyl alcohol 0.7 Amyl metacresol 0.1 Levomenthol 0.1

25 Menthane carboxylic acid-N-(4-methoxy-phenyl)-amide 0.01 Spearmint oil 0.3 Ethanol 20.0 Propylene glycol 10.0 30 Water Ad 100

Table 4 35 Composition tooth paste Component Trade name Conc.[% b.w.] Precipitated silica Sident® 12 DS 18.0

40 Silica gel Aerosil® 200 0.8 Sorbit 17.5 Glycerol 17.5 Carboxy methyl cellulose Relatin® 100 SR 0.9 45 Sodium lauryl sulfate Texapon® K1296 2.0 Sodium fluoride 0.22 Saccharin sodium 0.2

50 Menthane carboxylic acid-N-(4-methoxy-phenyl)-amide 0.01 Water Ad 100

55

13 EP 2 730 280 A1

Table 5 Composition mouthwash Component Trade name Conc.[% b.w.] 5 Ethanol (96% b.w.) 10.0 Sorbitan monolaurate+20EO Tween® 20 0.4 Menthane carboxylic acid-N-(4-methoxy-phenyl)-amide 0.01

10 Sorbit (70% b.w. ) 8.0 p-Hydroxybenzoic acid methyl ester 0.2 Water Ad 100

15 Table 6 Compositions for chewing gums Composition ABCDEFGH 20 Polyisobutylene (MW 20.000) 30.0 30.0 30.0 40.0 20.0 20.0 25.0 30.0 Glucose 51.0 51.0 51.0 42.5 Corn syrup 10.0 10.0 10.0 8.0 Sorbitol 51.0 51.0 47.5 44.5 25 Mannitol 5.05.04.33.6 Glycerol 1.8 1.8 1.8 1.8 8.0 8.0 8.0 7.0 Lycasin:Glycerol (1:1) 8.2 8.2 8.0 7.0 30 Lecithine 0.20.20.20.2 Menthane carboxylic acid-N-(4-methoxy-phenyl)-amide 0.01 0.01 0.01 0.01 0.01 0.01 0.01 0.01 Spearmint aroma 0.01 0.01 0.01 0.01 0.01 0.01 0.01 0.01

35 Water Ad 100

Claims

40 1. A pharmaceutical composition, comprising menthane carboxylic acid-N-(4-methoxyphenyl)-amide.

2. A pharmaceutical composition, comprising menthane carboxylic acid-N-(4-methoxyphenyl)-amide for treating and/or preventing skin inflammation.

45 3. A pharmaceutical composition, comprising menthane carboxylic acid-N-(4-methoxyphenyl)-amide for reducing the release of TNF-α (Tumor necrosis factor-alpha).

4. A pharmaceutical composition, comprising menthane carboxylic acid-N-(4-methoxyphenyl)-amide for reducing the release of an interleukin. 50 5. A pharmaceutical composition, comprising menthane carboxylic acid-N-(4-methoxyphenyl)-amide for reducing the release of a prostaglandin.

6. A pharmaceutical composition, comprising menthane carboxylic acid-N-(4-methoxyphenyl)-amide for reducing the 55 release of interferon-gamma (INF-γ) and/or NF-κB (nuclear factor kappa-light-chain-enhancer of activated B cells).

7. Pharmaceutical compositions according to any of the Claims 1 to 6, wherein they comprise an additional active principle selected from the group consisting of antitussives (cough suppressants), expectorants, local anaesthetics,

14 EP 2 730 280 A1

decongestants, antihistamines analgesics, antiseptics and their mixtures.

8. An oral composition comprising

5 (a) menthane carboxylic acid-N-(4-methoxy-phenyl)-amide, (b) a pharmaceutically acceptable carrier, and optionally (c) at least one additional active principle and/or (d) at least one aroma compound and/or (e) at least one sweetener. 10 9. The composition of Claim 8, wherein the carriers (component b) are selected from water and alcohols or polyols having 2 to 15 carbon atoms and their esters.

10. The composition of Claim 8, wherein the active principles (component c) are selected from the group consisting of 15 antitussives (cough suppressants), expectorants, local anaesthetics, decongestants, antihistamines analgesics, antiseptics and their mixtures.

11. The composition of Claim 8, wherein the aroma compounds (component d) are selected from the group consisting of anisole, basil oil, bergamot oil, bitter almond oil, camphor oil, citronella oil, lemon oil; Eucalyptus citriodora oil, 20 eucalyptus oil, fennel oil, grapefruit oil, camomile oil, spearmint oil, caraway oil, lime oil, mandarin oil, nutmeg oil, myrrh oil, clove oil, clove blossom oil, orange oil, oregano oil, parsley (seed) oil, peppermint oil, rosemary oil, sage oil, star aniseed oil, thyme oil, vanilla extract, juniper oil (in particular juniper berry oil), wintergreen oil, cinnamon leaf oil; cinnamon bark oil, menthol, cineol, eugenol, thymol, cinnamic aldehyde and their mixtures

25 12. The composition of Claim 8, wherein the sweeteners (component e) selected from the group consisting of sucrose, trehalose, lactose, maltose, melizitose, raffinose, palatinose, lactulose, D-fructose, D-glucose, D-galactose, L-rham- nose, D-sorbose, D-mannose, D-tagatose, D-arabinose, L-arabinose, D-ribose, D-glyceraldehyde, maltodextrin, sugar beet, sugar cane, sugar maple, agave thick juice, invert sugar syrup, fruit concentrates, erythritol, threitol, arabitol, ribitol, xylitol, sorbitol, mannitol, dulcitol, lactitol, miraculin, monellin, thaumatin, curculin, brazzein, magap, 30 sodiumcyclamate, acesulfame K, neohesperidin dihydrochalcone, saccharin sodium salt, aspartame ®, superaspar- tame, neotame, alitame, sucralose, stevioside, rebaudioside, lugduname, carrelame, sucrononate, sucrooctate, monatin, phyllodulcin, glycine, D-leucine, D-threonine, D-asparagine, D-phenylalanine, D-tryptophan, L-proline, her- nandulcin, dihydrochalcone glycosides, glycyrrhizin, glycyrrhetinic acid ammonium salt or other glycyrrhetinic acid derivatives, liquorice extracts, Lippia dulcis extracts, Momordica ssp. extracts,Luo Han Guo and the mogrosides 35 obtained therefrom, Hydrangea dulcis, Stevia ssp. and their mixtures.

13. The composition of Claim 8, wherein they comprise the components in the following amounts:

(a) about 0.1 to about 25 % b.w. menthane carboxylic acid-N-(4-methoxy-phenyl)-amide; 40 (b) about 99.9 to about 75 % b.w. of at least one pharmaceutically acceptable carrier; (c) 0 to about 10 % b.w. active principles; (d) 0 to about 25 % b.w. aroma compounds; (e) 0 to about 25 % b.w. sweeteners; on condition that the amounts add - optionally together additional ingredients - to 100 % b.w. 45 14. The composition of Claim 8, wherein the product is a solution, an emulsion, an oral rinse, a spray, a syrup, a , a capsules, a granule, a pellet, a film, a hard candy, a soft candy, a , a cough lozenge, a medicinal pastille, a throat disc, a film strip, a chewable tablet, an effervescent tablet, a throat spray, a nasal spray, a nasal drop, a cough syrup, a tooth paste, a mouthwash or a chewing gum. 50 15. A non-therapeutic method for treating and/or preventing inflammations of the respiratory tract wherein a working amount of menthane carboxylic acid-N-(4-methoxyphenyl)-amide in a pharmaceutical acceptable solvent is admin- istered orally.

55

15 EP 2 730 280 A1

16 EP 2 730 280 A1

17 EP 2 730 280 A1

18 EP 2 730 280 A1

REFERENCES CITED IN THE DESCRIPTION

This list of references cited by the applicant is for the reader’s convenience only. It does not form part of the European patent document. Even though great care has been taken in compiling the references, errors or omissions cannot be excluded and the EPO disclaims all liability in this regard.

Patent documents cited in the description

• US 4136163 A [0005] [0007] [0008] [0009] [0012] • EP 2186506 A [0020] • WO 2009021558 A1 [0009] • EP 0389700 A [0049] • US 6231900 B1 [0010] • US 4251195 A [0049] • US 20090238905 A1 [0011] • US 6214376 B [0049] • US 20090238905 A [0011] • WO 2003055587 A1 [0049] • WO 2007021603 A1 [0012] • WO 2004050069 A1 [0049] • WO 2008015403 A1 [0013]

19